Individual
REGINA BERTHA HART-POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 467-7600
(248) 547-2668
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 467-7600
(734) 467-7636
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803086003
MI
Other
Enumeration date
01/19/2023
Last updated
07/02/2024
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